1.やさしい
Which definition best describes heart failure?
- AThe heart cannot pump enough blood to meet the body's needs
- BA coronary artery is suddenly blocked by a clot
- CThe heart has completely stopped beating and there is no pulse
- DThe heart beats faster than 150 beats per minute for over an hour
2.やさしい
Where is the apex beat normally felt in an adult?
- AThe second intercostal space to the right of the sternum
- BJust below the right nipple
- CThe fifth intercostal space in the left mid-clavicular line
- DOver the middle of the breastbone
3.やさしい
What is the classic clinical definition of chronic bronchitis?
- AA single episode of coughing up blood after a chest infection
- BWheeze and chest tightness that occur only during exercise
- CA cough with sputum most days for 3 months in 2 years running
- DA dry cough lasting about one week after a common cold
4.ふつう
A patient on home oxygen has dry, sore lips. Which product is safest to use?
- AA water-based lubricant
- BAn alcohol-based gel
- CPetroleum jelly
- DAn oil-based balm
5.ふつう
Before the first treatment dose of a low-molecular-weight heparin for a PE, what does the nurse need to make sure of?
- AAn accurate, recent body weight is recorded
- BThe patient's blood glucose is above 10 mmol/L (180 mg/dL)
- CThe patient has fasted for 12 hours
- DA chest drain is in place
6.ふつう
A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?
- AClass II
- BClass IV
- CClass III
- DClass I
7.むずかしい
1日1.5 Lの水分制限を受けている心不全の患者が、強い口渇を訴えています。最も適切な対応はどれですか?
- A唾液を促して乾燥を和らげるための、塩気のある軽食
- B翌朝の体重測定まで、一切の水分を与えない
- C口腔ケア、数を数えた氷片、1日を通して分けた水分
- D渇きは常に満たすべきなので、水を無制限に
8.むずかしい
On day 2 after a surgical tracheostomy, the tube falls out. The patient is breathing but distressed. What should the nurse do first?
- ACover the stoma completely with a sealed dressing and wait for help
- BForce the tube back through the stoma immediately with firm pressure
- CCall for expert help and give oxygen to both the face and the stoma
- DLeave the patient alone while fetching a new tube
解答
- 1. A · The heart cannot pump enough blood to meet the body's needs
- 2. C · The fifth intercostal space in the left mid-clavicular line
- 3. C · A cough with sputum most days for 3 months in 2 years running
- 4. A · A water-based lubricant
- 5. A · An accurate, recent body weight is recorded
- 6. C · Class III
- 7. C · 口腔ケア、数を数えた氷片、1日を通して分けた水分
- 8. C · Call for expert help and give oxygen to both the face and the stoma
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